Journal of Traumatic Stress Disorders & Treatment ISSN: 2324-8947

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Case Report, J Trauma Stress Disor Treat Vol: 5 Issue: 1

The Diagnosis and Treatment of Pancreas Injury: A Report of 26 Cases

Chen Tianjin1, Gao Hong2, Wei Zhangying1, Mu Dean2, Gong Jianping2 and Guo Can1*
1Department of Emergency Surgery, Chongqing Three Gorges Central Hospital, Wanzhou-404000, China
2Department of Hepatobiliary Surgery, Second Affiliated Hospital, Chongqing Medical University, Chongqing-400010, China
Corresponding author : Guo Can
Department of Emergency Surgery, Chongqing Three Gorges Central Hospital, Wanzhou 404000, China
Tel: +86-13996286589, Fax: +86-23-63829191
E-mail: [email protected]
Received: December 10, 2015 Accepted: February 16, 2016 Published: February 20, 2016
Citation: Tianjin C, Hong G, Zhangying W, Dean M, Jianping G, et al. (2016) The Diagnosis and Treatment of Pancreas Injury: A Report of 26 Cases. J Trauma Stress Disor Treat 5:1. doi:10.4172/2324-8947.1000153

Abstract

The Diagnosis and Treatment of Pancreas Injury: A Report of 26 Cases

Objective: To investigate the diagnosis and treatment of pancreatic injury.
Methods: A retrospective analysis of 26 patients with pancreatic injury was performed.
Results: According to the Organ Injury Scaling Committee of the American Association for the Surgery of Trauma (AAST), there were12 in grade I, 7 in grade II, 4 in grade III, 2 in grade IV, 1 in grade V. In 26 patients, proximal pancreatic suture and distal pancreatectomy were performed in 2 cases; proximal pancreatic suture and distal pancreatic-jejunum Roux-en-Y anastomosis were performed in 4 cases, pancreatic head-jejunum Roux-en-Y anastomosis were performed in 2 cases, simple pancreas repair in 8 cases and simple pancreas drainage were performed in 10 cases. 24 patients were cured and 2 died in the end.
Conclusion: Early diagnosis of pancreatic injury is difficult and early surgery should be done once the injury is suspected. Depending on the grade of pancreatic injury, the surgical management including drainage, nutrition after operation is very important.

Keywords: Pancreas injury; Diagnosis; Treatment

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